Guttercat ASN, RN

Something about the title of this thread immediately turned me off. "Racist Surgeon(?)" I know it's easy to pick on surgeons, and maybe that's why this post bothers me. This observation-- thinly disguised as a question-- could equally apply to anyon...

DaVita is an excellent organization. I understand the frustration with the modern, outpatient dialysis workflow. It can be a source of great frustration for those that enjoy a more abstract work environment. As far as apheresis goes, it might be mor...

Bravo.

More experience. It takes time to learn how finesse both. Grafts and fistulas are different animals entirely. Never approach the one as being similar to the other. Ever. I've been at this a very long time, and am quite adept at both. That said, I st...

As a person facing potential dialysis, you do *not* need to go into massive debt to be on dialysis. Have you discussed long-range contingency plans (in the event your kidneys eventually give up) with your nephrologist and renal team? There is hope!!...

Post of the Day. Really, really great. Thank you for taking time to write that out. Sums it all up. P.S., I'd love to do PACU, but PACU call is worse than what I have in my own gig. Zoiks, you people have some insane call hours.

What a beneficial study this might be. I've long thought that "sharing nights," as a previous poster mentioned might be a solution. 7-7:30 shifts are absurd. Night shift isn't in bed until 9 AM, and day shift isn't in bed until 11PM. After over 20 ...

I never could adjust, even with adequate sleep. I felt as if I was in a perpetual stupor, 24/7/365. Hated it. Paid my dues on nights, and have never looked back.

Just give her the COB side-eye and carry on. Or, if she pushes you away again, run her over with said cart.

When I was 20, I was no where near mature enough for college, nor did I want to go. I was too busy flitting around the country as a competitive athlete. But something changed at about age 22. I was ready. All that discipline in sports made me mental...

Me too. I've never had any actions or complaints against my license, nor any legal troubles of any kind, but if all it takes is one person to set things in motion like this...well, then, we are each and every one of us living in a sand castle. That i...

...And all the COB's in the house say hey ho. )Go git 'em, Grasshopper. You're on your way. Relax. :)

Charming.

No plans to do dialysis when the time comes? Do you mean as a patient? Definitely that is your choice, one that should be respected, and one that I'm sure you've mulled over and over in your head. The majority of patients you see on dialysis usuall...

I would (putting myself in your shoes) steer clear of renal nursing. Working in psych, I'm sure you've seen your share of docs, therapists, and nurses that enter that field because they have issues themselves. It rarely ends well. Along the lines of...

Hi, I'm Guttercat. The mean one. Let me ask you, do you even realize how awesome your life is right now? Definitely seek counseling. Don't allow this disorder to rob you of your joy. Yes, it really is all in your head. Get it sorted now, or risk los...

Not at all unusual. I've had more than a few patients divulge that they are happier being in the hospital than dealing with their illnesses in the outpatient setting. And a crappy life--self-inflicted or not--is more pleasant when you're being waited...

Absurd. The saying that 'as goes California, so goes the nation,' is a frightening proposition. What a cluster. In all my years of nursing, I have never seen such a mess when applying for endorsement.

I am curious as well. I will be endorsing from out of state. I have family I could stay with in the Sacramento area, and am wondering if I should just fly down and take everything to them in person might help. I have a target date of being licensed ...

Those of us that have been in this game for a long time can get rusty on the basics. Over time, we tend to know innards of the Fresenius K-machine and how to treat diseased EMR's better than we remember renal anatomy. Tragic. Remember when Henle and...

Khan Academy is a super resource for maths and sciences.

BTDT is a fantastic resource. She is neither rude nor "debilitating." She is one of the more realistic and helpful mentors on this site. Way to step in it.

I don't understand what you mean by "take on a unit of patients."

Fecal transplant STAT. In all seriousness, certain antibiotics such as Clindamycin and Cipro are more likely to allow an overgrowth of C-diff in the large intestine. Approximately 5% of adults are already colonized with C-diff, but competing bacteri...

The perfectly timed response would have been: "I'm delighted to hear that. Because I'd never want you as my patient."